Jeffrey Allen Fillmore, APNP in New London, WI

Jeffrey Allen Fillmore, APNP is a medicare enrolled "Nurse Practitioner - Family" in New London, Wisconsin. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Thedacare, Incorporated and his current practice location is 1405 Mill St, New London, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 531-2400.

Jeffrey Allen Fillmore is licensed to practice in Wisconsin (license number 10818) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992382873.

Contact Information

	Jeffrey Allen Fillmore, APNP
	1405 Mill St, New London, WI 54961-2155
	(920) 531-2400
	(920) 531-2450

Map and Direction

Provider's Profile

Full Name	Jeffrey Allen Fillmore
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1405 Mill St, New London, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeffrey Allen Fillmore graduated from nursing school in 2020

NPI Data:

NPI Number: 1992382873
Provider Enumeration Date: 03/26/2021
Last Update Date: 02/14/2022

Medicare PECOS Information:

PECOS PAC ID: 7315346889
Enrollment ID: I20210603001325

Medical Identifiers

Medical identifiers for Jeffrey Allen Fillmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992382873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	10818-33 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	10818 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare Medical Center - New London	New london, WI	Hospital
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital
Thedacare Regional Medical Center - Appleton Inc	Appleton, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thedacare, Incorporated	1759294887	509

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeffrey Allen Fillmore allows following entities to bill medicare on his behalf.

Entity Name	Thedacare, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffrey Allen Fillmore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jeffrey Allen Fillmore, APNP 96 N Clinton Ave, Clintonville, WI 54929-1250 Ph: (715) 460-0347	Jeffrey Allen Fillmore, APNP 1405 Mill St, New London, WI 54961-2155 Ph: (920) 531-2400

Reviews and Comments

Nurse Practitioner Nurses in New London, WI

Natalie G Gauthier, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400
Allsion R Stache, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-831-5050 Fax: 920-531-2207
Jennifer Schaffer, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400
Tori C Beyer, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2398
Cara Benner, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400
Herbert A Nolan, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400
Kimberly R Brown, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2463

Jeffrey Allen Fillmore, APNP - Medicare Nurse Practitioner in New London, WI